ASSIST MAST,MOD RAD,INCL LYMPH at UPMC Cole

Coudersport, PA

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Pricing by billing methodology

Price type

Payers reporting CPT 19307-AS at UPMC Cole

Negotiated rates from the hospital’s own file: 6 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Highmark community blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$304	$304	—	—	—	$304 – $304
2	Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges	$307	$307	—	—	—	$307 – $307
3	Humana medicare facility · percent of total billed charges · outpatientfrom % of charges	$311	$311	—	—	—	$311 – $311
4	Amerihealth Caritas community healthchoices (chc) facility · percent of total billed charges · outpatientfrom % of charges	$315	$315	—	—	—	$315 – $315
5	Amerihealth Caritas medicaid facility · percent of total billed charges · outpatientfrom % of charges	$315	$315	—	—	—	$315 – $315
6	Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges	$323	$323	—	—	—	$323 – $323
7	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$335	$335	—	—	—	$335 – $335
8	Highmark medicaid facility · percent of total billed charges · outpatientfrom % of charges	$439	$439	—	—	—	$439 – $439
9	Highmark commercial - social mission indemnity facility · percent of total billed charges · outpatientfrom % of charges	$693	$693	—	—	—	$693 – $693
10	Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges	$693	$693	—	—	—	$693 – $693
11	Highmark commercial - indemnity facility · percent of total billed charges · outpatientfrom % of charges	$834	$834	—	—	—	$834 – $834
12	Highmark managed care facility · percent of total billed charges · outpatientfrom % of charges	$834	$834	—	—	—	$834 – $834
13	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$878	$878	—	—	—	$878 – $878
14	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$878	$878	—	—	—	$878 – $878
15	MultiPlan ppo/auto facility · percent of total billed charges · inpatientfrom % of charges	$878	$878	—	—	—	$878 – $878
16	MultiPlan ppo/auto facility · percent of total billed charges · outpatientfrom % of charges	$878	$878	—	—	—	$878 – $878
17	MultiPlan worker's compensation facility · percent of total billed charges · inpatientfrom % of charges	$878	$878	—	—	—	$878 – $878
18	MultiPlan worker's compensation facility · percent of total billed charges · outpatientfrom % of charges	$878	$878	—	—	—	$878 – $878
19	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$900	$900	—	—	—	$900 – $900

Last updated: Mar 6, 2026

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